OMAR F GHANDOUR (MD) – Radiation Oncology Physician, NPI 1255323663
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 RADIATION ONCOLOGY in MS
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Provider Addresses for OMAR F GHANDOUR (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303845827
Phone:
Type: Mailing
Baptist Memorial Hospital-DeSoto, 7601, Southcrest Parkway, Southaven Towne Center, Southaven, DeSoto County, Mississippi, 38671, United States
SOUTHAVEN, MS 386714739
Phone: (662) 772-2130
Fax: (662) 772-2131
Type: Location
6019 Walnut Grove Rd
Memphis, TN 381202113
Phone: (901) 226-0340
Fax: (901) 226-0349
Type: Location
1109 E Reelfoot Ave Ste F
Union City, TN 382615867
Phone: (731) 884-1412
Fax: (731) 884-1720
Type: Location
2996 Kate Bond Rd
Suite 100
Bartlett, TN 381334030
Phone: (901) 383-5570
Fax: (901) 383-5571
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Stemline Therapeutics Inc. ($104).
Total Amount
$268
General + Research + Ownership
Payments
10
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-31
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-09-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081122000143 | I | Radiation Oncology | TN | TBD |
| I20150908000396 | I | Radiation Oncology | MS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 1,348 | 57 | $0 |
| 77300 | Calculation of radiation therapy dose | 634 | 97 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 472 | 113 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 261 | 126 | $0 |
| 77263 | Complex radiation therapy planning | 125 | 121 | $0 |
Insurance plans in this area (ZIP 30384)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Osteopathic Manipulative Medicine | NY | |
| H E M A T O L O G Y/ O N C O L O G Y | TN | |
| Family Practice | MS | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | MS | |
| Internal Medicine | AR | |
| Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN |
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